Carotid Disease: Follow that Bruit
Carotid Disease: Follow that Bruit
Erica Camargo Faye, MD, MMSc Assistant in Neurology, MGH Stroke Service Associate Inpatient Medical Director, Department of Neurology Assistant Professor of Neurology, Harvard Medical School
Disclosures
Neither I nor my spouse has a relevant financial relationship with a commercial interest to disclose.
Internal Carotid Artery Stenosis
? Location
? Extracranial ? Intracranial
? Etiology
? Atherosclerotic ? Non-atherosclerotic
? Dissection ? FMD ? radiation vasculopathy ? Inflammatory ? Moyamoya
Carotid Stenosis
? Location
? Extracranial ? Intracranial
? Etiology
? Atherosclerotic ? Non-atherosclerotic
? Dissection ? FMD ? radiation vasculopathy ? Inflammatory ? Moyamoya
Carotid Stenosis
? Prevalence
? > 50% stenosis: 7% women, 7-9% men ? 75-100% stenosis: 1.1% women, 2.3% men ? Risk factors:
? Male sex ? Hypertension ? Diabetes ? Cholesterol ? Smoking ? CAD, vascular disease ? Alcohol use (men)
Brott TG et al. Circulation 2011; Fine-Edelstein JS et al. Neurology 1994; O'Leary DH et al. Stroke 1992;
Naylor, AR et al. Eur J Vasc Endovasc Surg 2018.
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